*ADDRESS APPLIED FOR *MONTHLY RENT NON-REFUNDABLE APPLICATION FEE * LEASE TERM 1-YEAR2-YEAR3-YEAR4-YEAR5-YEAR * LEASE START DATE *APPLICANT NAME *DOB *SSN *DRIVER’S LICENSE # *STATE *PHONE *EMAIL CURRENT RESIDENCE STREET ADDRESS CITY STATE ZIP CODE LEASE START DATE LEASE END DATE MONTHLY RENT LANDLORD NAME LANDLORD PHONE REASON FOR LEAVING PREVIOUS RESIDENCE STREET ADDRESS CITY STATE ZIP CODE LEASE START DATE LEASE END DATE MONTHLY RENT LANDLORD NAME LANDLORD PHONE REASON FOR LEAVING EMPLOYMENT INFORMATION CURRENT OCCUPATION EMPLOYER ADDRESS EMPLOYER’S PHONE SUPERVISOR NAME EMPLOYER START DATE MONTHLY PAY OTHER INCOME / SOURCE PREVIOUS OCCUPATION EMPLOYER ADDRESS EMPLOYER’S PHONE SUPERVISOR NAME EMPLOYER START DATE EMPLOYER END DATE MONTHLY PAY REFERENCES NAME PHONE NUMBER RELATIONSHIP NAME PHONE NUMBER RELATIONSHIP NAME PHONE NUMBER RELATIONSHIP ALL OTHER OCCUPANTS (UNDER 18) NAME BIRTH DATE RELATIONSHIP TO APPLICANT NAME BIRTH DATE RELATIONSHIP TO APPLICANT NAME BIRTH DATE RELATIONSHIP TO APPLICANT NAME BIRTH DATE RELATIONSHIP TO APPLICANT GENERAL INFORMATION How many people would be living with you? Have you ever been late or delinquent on rent? Have you filed for bankruptcy recently? Have you ever been party to a lawsuit? Do you smoke? Do you have any pets? AGREEMENT & AUTHORIZATION By signing this application, I verify that the statements in this application are true and correct. I authorize the use of the information and contacts provided to complete a credit, reference, and/or background check. I understand that false or lack of information may result in the rejection of this application. Date
